Provider Demographics
NPI:1437335387
Name:BECKER, PATRICIA REITER (CRNP)
Entity Type:Individual
Prefix:
First Name:PATRICIA
Middle Name:REITER
Last Name:BECKER
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1421 HIGHLAND AVE
Mailing Address - Street 2:
Mailing Address - City:ABINGTON
Mailing Address - State:PA
Mailing Address - Zip Code:19001-2610
Mailing Address - Country:US
Mailing Address - Phone:215-572-7880
Mailing Address - Fax:215-572-8024
Practice Address - Street 1:1246 W CHESTER PIKE
Practice Address - Street 2:303
Practice Address - City:WEST CHESTER
Practice Address - State:PA
Practice Address - Zip Code:19382-5683
Practice Address - Country:US
Practice Address - Phone:610-692-2605
Practice Address - Fax:610-692-7310
Is Sole Proprietor?:No
Enumeration Date:2008-01-10
Last Update Date:2010-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAVP001808B363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily